Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $41.69 / $85.11	Professional		$28.18	$41.69	$85.11
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $7.94 / $10.96 / $33.11	Professional	26	$7.94	$10.96	$33.11
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $19.05 / $30.90 / $77.62	Professional	TC	$19.05	$30.90	$77.62
BCBS Facility/Professional Facility Modifier 26 Low / Median / High Price $64.57 / $64.57 / $64.57	Facility	26	$64.57	$64.57	$64.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $61.66 / $177.83	Professional		$52.48	$61.66	$177.83
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $14.13 / $16.60 / $43.65	Professional	26	$14.13	$16.60	$43.65
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $37.15 / $37.15 / $43.65	Professional	TC	$37.15	$37.15	$43.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $56.23 / $125.89	Professional		$47.86	$56.23	$125.89
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $13.18 / $15.49 / $33.88	Professional	26	$13.18	$15.49	$33.88
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $33.11 / $38.90 / $95.50	Professional	TC	$33.11	$38.90	$95.50
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $38.02 / $177.83	Professional		$38.02	$38.02	$177.83
MVP Health Care Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $11.22 / $43.65	Professional	26	$11.22	$11.22	$43.65
MVP Health Care Facility/Professional Professional Modifier TC Low / Median / High Price $26.92 / $26.92 / $26.92	Professional	TC	$26.92	$26.92	$26.92
United Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $52.48 / $141.25	Professional		$40.74	$52.48	$141.25
United Facility/Professional Professional Modifier 26 Low / Median / High Price $11.22 / $14.45 / $35.48	Professional	26	$11.22	$14.45	$35.48
United Facility/Professional Professional Modifier TC Low / Median / High Price $27.54 / $37.15 / $107.15	Professional	TC	$27.54	$37.15	$107.15